MICHAEL LOUIS COSTA

STATEN ISLAND, NY
NPI1043480551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  053358-1)
Enumeration Date2008-03-11
Last Update Date2011-08-16
Business Address
Dr. MICHAEL LOUIS COSTA dmd
62 HART BLVD
STATEN ISLAND, NY 10301-2613
Phone number: 718-442-3982
Mailing Address
Dr. MICHAEL LOUIS COSTA dmd
62 HART BLVD
STATEN ISLAND, NY 10301-2613
Phone number: 718-442-3982
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